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Evaluación de los factores asociados a la seguridad del paciente en la unidad de cuidados intensivos.

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Title: Evaluación de los factores asociados a la seguridad del paciente en la unidad de cuidados intensivos.
Alternate Title: Assessment of factors associated with patient safety in the intensive care unit.
Authors: Jinete Acendra, Janeth1,2 janeth.jinete@unimetro.edu.co, Barraza Ospino, Damar1,2, Morales Aguilar, Rosa1,2, Pardo Vásquez, Alba1,2, Siado Figueroa, Milagros1,2, González-Torres, Henry J.1,2
Source: Archivos Venezolanos de Farmacología y Terapéutica. 2021, Vol. 40 Issue 9, p921-926. 6p.
Subjects: MEDICAL quality control, MEDICAL personnel, NURSES' aides, PATIENT safety, JOB stress, CRITICAL care medicine, PATIENT compliance, QUALITY of service
Abstract (English): Introduction: The set of processes, elements and instruments and methodologies based on medical evidence that consider- ably reduce the risk of the patient suffering an adverse event (AE) of any kind or, failing that, reduce its impact, is called safe- ty of the patient. Patient. Objective: Identify the factors that affect safety in intensive care services, a relevant indicator of the quality of health care Methodology: Descriptive, cross-sectional study. Four basic aspects that impact patient safety were reviewed. The prognosis of the patients was evaluated with APACHE II and the need for attention by the TISS score, Adherence to Guidelines, Patient Safety Culture and Perception of Workload. The qualitative variables are summarized through absolute and percentage frequencies. The magnitude of the association between APACHE II and TISS Score was made through². Results: 27 (29.6%) Nurses (ENF) and 64 (70.3%) Certified Nursing Assistants were evaluated. The patients had an APACHE II of 25.9 ± 5.5pts (IQR 23 - 29pts) and a TISS of 24 ± 12.9pts (IQR 14 - 31), with no direct relationship between these two evaluation parameters (‐²: 14.4; p- value: 0.7006). There was a high level of compliance with the Guidelines over 90% and a great capacity for teamwork, also greater than 90%. Both NFS and ACEs demonstrated evidence-based knowledge of their procedures. The most prevalent risk factor was work stress (60.44%) and that this prevented people from resting correctly. Conclusions: The most important aspect was work stress, which had a negative impact on all aspects of the life of health personnel. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: El conjunto de procesos, elementos e instrumen- tos y metodologías basadas en la evidencia medica que reducen considerablemente el riesgo de que el paciente sufra un evento adverso (EA) de cualquier tipo o en su defecto disminuir el impacto del mismo, se denomina seguridad del Paciente. Objetivo: Identificar los factores que afectan la seguridad en los servicios de cuidados intensivos, indicador relevante de la calidad de la atención en salud Metodología: Estudio descriptivo, transversal. Se revisaron cuatro aspectos básicos que impactan en la seguridad del paciente. El pronóstico de los pacientes se evaluó con APACHE II y la necesidad de atención por el TISS score, Adhesión a Guías, Cultura de Seguridad del Paciente y la Percepción de Carga Laboral. Las variables cualitativas se resumen a través de fre- cuencias absolutas y porcentuales. La magnitud de la asociación entre APACHE II y TISS Score fue realizada a través de². Resultados: Se evaluaron 27 (29,6%) Enfermeras (ENF) y 64 (70.3%) Auxiliares de Enfermería Certificadas. Los pacientes tu- vieron un APACHE II de 25,9±5.5pts (RIQ 23 – 29pts) y un TISS de 24±12.9pts (RIQ 14 – 31), sin relación directa entre estos dos parámetros de evaluación (²: 14.4; p-valor: 0.7006). Se vio un alto nivel de cumplimiento de Guías sobre el 90% y una gran capacidad de trabajo en equipo, también mayor al 90%. Tanto las ENf como las ACE demostraron tener conocimiento basado en la evidencia de sus procedimientos. El factor de riesgo más prevalente fue el Estrés laboral (60.44%) y que este impedía que las personas descansaron correctamente. Conclusiones: El aspecto de mayor importancia fue el Estrés laboral el cual impactaba negativamente en todos los aspectos de la vida del personal en salud. [ABSTRACT FROM AUTHOR]
Copyright of Archivos Venezolanos de Farmacología y Terapéutica is the property of Archivos Venezolanos de Farmacologia y Terapeutica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Evaluación de los factores asociados a la seguridad del paciente en la unidad de cuidados intensivos.
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  Data: Assessment of factors associated with patient safety in the intensive care unit.
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  Data: <searchLink fieldCode="AR" term="%22Jinete+Acendra%2C+Janeth%22">Jinete Acendra, Janeth</searchLink><relatesTo>1,2</relatesTo><i> janeth.jinete@unimetro.edu.co</i><br /><searchLink fieldCode="AR" term="%22Barraza+Ospino%2C+Damar%22">Barraza Ospino, Damar</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Morales+Aguilar%2C+Rosa%22">Morales Aguilar, Rosa</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Pardo+Vásquez%2C+Alba%22">Pardo Vásquez, Alba</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Siado+Figueroa%2C+Milagros%22">Siado Figueroa, Milagros</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22González-Torres%2C+Henry+J%2E%22">González-Torres, Henry J.</searchLink><relatesTo>1,2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Archivos+Venezolanos+de+Farmacología+y+Terapéutica%22">Archivos Venezolanos de Farmacología y Terapéutica</searchLink>. 2021, Vol. 40 Issue 9, p921-926. 6p.
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  Data: <searchLink fieldCode="DE" term="%22MEDICAL+quality+control%22">MEDICAL quality control</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+personnel%22">MEDICAL personnel</searchLink><br /><searchLink fieldCode="DE" term="%22NURSES'+aides%22">NURSES' aides</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENT+safety%22">PATIENT safety</searchLink><br /><searchLink fieldCode="DE" term="%22JOB+stress%22">JOB stress</searchLink><br /><searchLink fieldCode="DE" term="%22CRITICAL+care+medicine%22">CRITICAL care medicine</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENT+compliance%22">PATIENT compliance</searchLink><br /><searchLink fieldCode="DE" term="%22QUALITY+of+service%22">QUALITY of service</searchLink>
– Name: Abstract
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  Data: Introduction: The set of processes, elements and instruments and methodologies based on medical evidence that consider- ably reduce the risk of the patient suffering an adverse event (AE) of any kind or, failing that, reduce its impact, is called safe- ty of the patient. Patient. Objective: Identify the factors that affect safety in intensive care services, a relevant indicator of the quality of health care Methodology: Descriptive, cross-sectional study. Four basic aspects that impact patient safety were reviewed. The prognosis of the patients was evaluated with APACHE II and the need for attention by the TISS score, Adherence to Guidelines, Patient Safety Culture and Perception of Workload. The qualitative variables are summarized through absolute and percentage frequencies. The magnitude of the association between APACHE II and TISS Score was made through². Results: 27 (29.6%) Nurses (ENF) and 64 (70.3%) Certified Nursing Assistants were evaluated. The patients had an APACHE II of 25.9 ± 5.5pts (IQR 23 - 29pts) and a TISS of 24 ± 12.9pts (IQR 14 - 31), with no direct relationship between these two evaluation parameters (‐²: 14.4; p- value: 0.7006). There was a high level of compliance with the Guidelines over 90% and a great capacity for teamwork, also greater than 90%. Both NFS and ACEs demonstrated evidence-based knowledge of their procedures. The most prevalent risk factor was work stress (60.44%) and that this prevented people from resting correctly. Conclusions: The most important aspect was work stress, which had a negative impact on all aspects of the life of health personnel. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: El conjunto de procesos, elementos e instrumen- tos y metodologías basadas en la evidencia medica que reducen considerablemente el riesgo de que el paciente sufra un evento adverso (EA) de cualquier tipo o en su defecto disminuir el impacto del mismo, se denomina seguridad del Paciente. Objetivo: Identificar los factores que afectan la seguridad en los servicios de cuidados intensivos, indicador relevante de la calidad de la atención en salud Metodología: Estudio descriptivo, transversal. Se revisaron cuatro aspectos básicos que impactan en la seguridad del paciente. El pronóstico de los pacientes se evaluó con APACHE II y la necesidad de atención por el TISS score, Adhesión a Guías, Cultura de Seguridad del Paciente y la Percepción de Carga Laboral. Las variables cualitativas se resumen a través de fre- cuencias absolutas y porcentuales. La magnitud de la asociación entre APACHE II y TISS Score fue realizada a través de². Resultados: Se evaluaron 27 (29,6%) Enfermeras (ENF) y 64 (70.3%) Auxiliares de Enfermería Certificadas. Los pacientes tu- vieron un APACHE II de 25,9±5.5pts (RIQ 23 – 29pts) y un TISS de 24±12.9pts (RIQ 14 – 31), sin relación directa entre estos dos parámetros de evaluación (²: 14.4; p-valor: 0.7006). Se vio un alto nivel de cumplimiento de Guías sobre el 90% y una gran capacidad de trabajo en equipo, también mayor al 90%. Tanto las ENf como las ACE demostraron tener conocimiento basado en la evidencia de sus procedimientos. El factor de riesgo más prevalente fue el Estrés laboral (60.44%) y que este impedía que las personas descansaron correctamente. Conclusiones: El aspecto de mayor importancia fue el Estrés laboral el cual impactaba negativamente en todos los aspectos de la vida del personal en salud. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Archivos Venezolanos de Farmacología y Terapéutica is the property of Archivos Venezolanos de Farmacologia y Terapeutica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.5281/zenodo.5834895
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